Oxigeno Medicinal líquido esteve teijin, 99,5% V/V GAS FOR inhalation
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How to use OXIGENO MEDICINAL LIQUIDO ESTEVE TEIJIN, 99.5% V/V GAS FOR INHALATION
Contents of the leaflet
- Introduction
- What is MEDICINAL OXYGEN and what is it used for
- Before using MEDICINAL OXYGEN
- How to use MEDICINAL OXYGEN
- Possible side effects
- Storage of MEDICINAL OXYGEN
- Further information
Introduction
Package Leaflet: Information for the User
MEDICINAL OXYGEN GAS ESTEVE TEIJIN 99.5% v/v gas for inhalation
Oxygen
Read all of this leaflet carefully before you start using this medicine.
- Keep this leaflet, you may need to read it again.
- If you have any further questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you, do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
- If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.
Contents of the pack:
- 1. What is MEDICINAL OXYGEN and what is it used for
- 2. Before using MEDICINAL OXYGEN
- 3. How to use MEDICINAL OXYGEN
- 4. Possible side effects
- 5. Storage of MEDICINAL OXYGEN
- 6. Further information
1. What is MEDICINAL OXYGEN and what is it used for
Oxygen belongs to a group of medicines called medicinal gases. Treatment with oxygen is indicated in the following cases:
- Correction of oxygen deficiency of various origins that require the administration of oxygen at normal or high pressure.
- Feeding respirators in anesthesia - resuscitation.
- Administration of inhalation medications via a nebulizer.
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2. Before using MEDICINAL OXYGEN
Do not use MEDICINAL OXYGEN
With flammable materials.
Oxygen allows and accelerates combustion. The degree of incompatibility of materials with oxygen depends on the conditions of pressure use of the gas. However, the risks of inflammation are more significant in the presence of oxygen, highlighting those associated with combustible compounds, especially those of a fatty nature (lubricants, oils) and organic materials (plastic materials, wood, paper, fabrics) that can ignite when in contact with oxygen, either spontaneously or under the effect of a spark, flame, or point of ignition, or under the effects of adiabatic compression.
Therefore, do not smoke or bring the container near heat sources.
Be careful with MEDICINAL OXYGEN
- In certain severe cases of oxygen deficiency. After 6 hours of exposure to an oxygen concentration of 100%, or after 24 hours of exposure to an oxygen concentration above 70%, pulmonary or neurological toxicity may appear (see "Possible side effects" section).
- High concentrations should be used for the shortest possible time and controlled by analyzing the gases in the arterial blood, while measuring the inhaled oxygen concentration; it is advisable to use, in any case, the lowest dose capable of maintaining the arterial partial oxygen pressure (PaO2) at 50-60 mm Hg (i.e., 5.65-7.96 kPa) and, after 24 hours of exposure, try to maintain, as far as possible, an oxygen concentration below 45%.
Precautions for use:
- In infants, due to the risk of retinal alterations (see "Use in infants" section).
- Hyperbaric oxygen therapy: to avoid risks of injuries caused by high pressure, in body cavities containing air and communicating with the outside, compression and decompression must be slow.
- Liquid oxygen is at a very low temperature (around -183°C) and can cause frostbite if it comes into contact with the skin; in case of occurrence, rinse abundantly with water (see "Instructions for use/handling" section).
Use of other medicinesInform your doctor or pharmacist if you are using or have recently used other medicines, including those purchased without a prescription.
The toxicity of oxygen can be increased by: corticosteroids, some cancer medications, paraquat, sympathomimetics, X-rays, or in cases of hyperthyroidism or deficiency of vitamins C and E or glutathione.
Use in infants
For infants who need a concentration above 30%, the arterial partial oxygen pressure (PaO2) must be regularly controlled so that it does not exceed 100 mm Hg (i.e., 13.3 kPa) due to the risk of retinal alterations (see "Possible side effects" section).
Pregnancy and breastfeeding
Consult your doctor or pharmacist before using any medicine. It has been widely used without any notable effects.
Driving and using machines
There is no data on the effect of MEDICINAL OXYGEN on driving and using machines.
3. How to use MEDICINAL OXYGEN
Follow exactly the instructions for administration of MEDICINAL OXYGEN indicated by your doctor. Consult your doctor or pharmacist if you have doubts.
Your doctor will determine the correct dose of MEDICINAL OXYGEN and administer it through a system suitable for your needs, ensuring the supply of the correct amount of oxygen. If you think the action of MEDICINAL OXYGEN is too strong or too weak, inform your doctor.
If you use more MEDICINAL OXYGEN than you shouldThe inhaled oxygen concentration should be decreased, and symptomatic treatment is recommended.
If you stop treatment with MEDICINAL OXYGENIf you have any other doubts about the use of this product, ask your doctor or pharmacist.
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4. Possible side effects
Like all medicines, MEDICINAL OXYGEN can cause side effects, although not everyone will experience them.
In chronic respiratory failure, in particular, there is a possibility of apnea (temporary suspension of breathing).
Inhaling high concentrations of oxygen can cause small collapses in the lung.
Administering oxygen at high pressures can cause injuries to the inner ear (which can pose a risk of eardrum rupture), sinuses, lungs (which can pose a risk of pneumothorax).
Convulsions have been registered after administration of oxygen with a concentration of 100% for more than 6 hours, particularly with high-pressure administration. Pulmonary injuries can occur after administration of oxygen concentrations above 80%.
In newborns, especially if premature, exposed to high concentrations of oxygen (FiO2 > 40%; PaO2 above 80 mm Hg, i.e., 10.64 kPa) or for a prolonged period (more than 10 days at a FiO2 > 30%), there is a risk of retinopathy, which appears between 3 and 6 weeks after treatment, and can experience regression or cause retinal detachment, or even permanent blindness.
Patients undergoing high oxygen pressures in chambers may experience claustrophobia crises.
If you think any of the side effects you are experiencing is serious, or if you notice any side effects not mentioned in this leaflet, inform your doctor or pharmacist.
5. Storage of MEDICINAL OXYGEN
Keep out of the reach and sight of children.
Do not use MEDICINAL OXYGEN after the expiration date stated on the packaging.
All rules related to the handling of pressure vessels must be followed.
Regarding storage and transportation, the following must be taken into account:
Storage of containers:
Containers must be stored in a well-ventilated or ventilated area, protected from the weather, clean, without flammable materials, reserved for the storage of medical gases, and can be locked. Empty and full containers must be stored separately. Containers must be protected from the risk of shocks or falls, as well as from heat sources or ignition, temperatures equal to or above 50°C, and combustible materials and weather conditions. They must be kept in a vertical position, with the valves closed.
Storage of containers at the user's service and at home:
The container must be installed in a location that allows it to be protected from the risks of shocks and falls (such as a support with fixing chains), heat sources or ignition, temperatures equal to or above 50°C, combustible materials, and weather conditions, as well as heat sources that can cause gasification.
Excessive storage should be avoided.
Transportation of containers:
Do not park vehicles in the oxygen transfer area.
Containers must be transported with the help of suitable material (such as a cart equipped with chains, barriers, or rings) to protect them from the risk of shocks or falls and keep them in a vertical position.
During transportation in vehicles, containers must be firmly grouped. Permanent ventilation of the vehicle is mandatory, and smoking is strictly prohibited.
6. Further information
Composition of MEDICINAL OXYGEN
The active principle is Oxygen 99.5% v/v.
Appearance and packaging of the product
The containers are portable cryogenic stainless steel containers of various capacities.
Home cryogenic container:
Stationary unit 20 with approximately 20 liters of oxygen
Stationary unit 21 with approximately 21 liters of oxygen
Stationary unit 30 with approximately 30 liters of oxygen
Stationary unit 31 with approximately 31 liters of oxygen
Stationary unit 36 with approximately 36 liters of oxygen
Stationary unit 37 with approximately 37 liters of oxygen
Stationary unit 41 with approximately 41 liters of oxygen
Stationary unit 45 with approximately 45 liters of oxygen
Stationary unit 46 with approximately 46 liters of oxygen
Stationary unit 60 with approximately 60 liters of oxygen
Instructions for use/handling
Do not smoke.
Do not bring near a flame.
Do not grease.
For the specific case of liquid oxygen, additional particularities of the product must be considered, which must be taken into account as precautions for its use and handling:
- Oxygen is a gas heavier than air, which can accumulate in low points after the vaporization of the liquid and make the atmosphere dangerous.
- Oxygen at atmospheric pressure is a liquid at a very low temperature (around -183°C) and can cause frostbite if it comes into contact with the skin in case of splashes or handling of the liquid without adequate protective equipment. In case of occurrence, rinse abundantly with water.
- One liter of liquid oxygen releases 850 liters of gas by vaporization and heating to ambient temperature. The expansion of liquid oxygen by heating is 850 times its liquid volume, and therefore, the precautions typical of overpressure in closed volumes (equipment and facilities) and over-oxygenation of materials and the atmosphere of the premises must be taken.
The medicinal oxygen containers are exclusively reserved for therapeutic use.
To avoid any incidents, it is necessary to strictly follow the following instructions:
- Never introduce this gas into a device that is suspected to contain combustible materials, especially if they are of a fatty nature.
- Never clean the devices that contain this gas or the valves, gaskets, seals, closing devices, and valves with combustible products, especially if they are of a fatty nature.
- Never apply any fatty substance (vaseline, ointments, etc.) to the face of patients.
- Never use aerosols (hair spray, deodorant, etc.) or solvents (alcohol, perfume, etc.) on the material or near it.
- Avoid exposure to heat sources (kitchens, radiators, fireplaces, etc.) or prolonged solar heating.
- Ventilate if possible the place of use, if it is reduced locations (vehicles, home).
- Check the good condition of the material before its use.
- Check at the time of delivery by the manufacturer that the container is equipped with an intact tamper-evident system.
- Handle the material with clean and grease-free hands.
- For the handling of cryogenic containers, the indicated protective equipment (glasses or visors, clean gloves intended for this use, adaptation of clothing, etc.) must be used, and the instructions and precautions described for the operation must be followed.
- Group the containers and keep them in a vertical position.
- Use connections or flexible connection elements specifically for oxygen.
- Use only equipment specifically approved for this product and for the pressure and temperature of use.
- Provide safety devices against overpressure in each circuit area where oxygen liquid may remain between two valves.
- Never touch the cold or frozen parts of the devices.
- Never use intermediate connections to allow the connection of two devices that do not fit together.
- The small cryogenic containers (Stationary Units) or their auxiliary equipment (portable units or backpacks) may have attached utilization accessories (humidifier vessel, flowmeter, mask or nasal goggles, etc.). These equipment will be used according to the prescription conditions (flows, doses, etc.).
- Open the valves slowly and close them when the product is not in use.
- Never force any part of the cryogenic container or try to repair faulty valves; in case of problems, contact the supplier.
- Never use a container with leaks.
- If clothing becomes saturated with oxygen, move away from the liquid oxygen source and places that present risks of inflammation. Also, remove such clothing.
- In case of cryogenic burn (from cold), rinse abundantly with water.
- Do not allow substances to flow back into the container. The entry of water into the container must be prevented.
- Do not keep the equipment valve open if it is not in use.
Marketing authorization holder:
ESTEVE TEIJIN HEALTHCARE, S.L.
Paseo del Ferrocarril, 369, Castelldefels,
08860 – Barcelona, Spain
Manufacturer:
ESTEVE TEIJIN HEALTHCARE, S.L.
Av. Diagonal, 579, 8th floor,
Barcelona, 08014. Spain
Or
MESSER IBERICA DE GASES, S.A.U.
Tarragona-Salou Highway Km 3.8
Vilaseca (Tarragona) Spain
Or
S.E. DE CARBUROS METALICOS, S.A.
Chaco district, Arrigorriaga – Vizcaya, SPAIN
Or
S.E. DE CARBUROS METALICOS, S.A.
Ca N'Estella Industrial Estate. Doctor Fleming, 29, San Esteve de Sesrovires,
Barcelona – SPAIN
This leaflet was approved in January 2011
Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/
Illustrative image - Country of registration
- Dosage formPULMONARY INHALATION, 99.5% v/v
- ATC codeV03AN01
- Active substance
- Prescription requiredYes
- Manufacturer
- This information is for reference only and does not constitute medical advice. Always consult a doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.
- Alternatives to OXIGENO MEDICINAL LIQUIDO ESTEVE TEIJIN, 99.5% V/V GAS FOR INHALATION
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SYNTHETIC MEDICINAL AIR OXYGEN HEALTH 22% V/V COMPRESSED MEDICINAL GASIllustrative imageDosage form: PULMONARY INHALATION, Oxygen 21.0% v/v to 22.5% v/vActive substance: oxygenManufacturer: Oxigen Salud S.A.Prescription required
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Frequently Asked Questions
OXIGENO MEDICINAL LIQUIDO ESTEVE TEIJIN, 99.5% V/V GAS FOR INHALATION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
The active ingredient in OXIGENO MEDICINAL LIQUIDO ESTEVE TEIJIN, 99.5% V/V GAS FOR INHALATION is oxygen. This information helps identify medicines with the same composition but different brand names.
OXIGENO MEDICINAL LIQUIDO ESTEVE TEIJIN, 99.5% V/V GAS FOR INHALATION is manufactured by Esteve Teijin Healthcare S.L.. Pharmacy brands and packaging may differ depending on the distributor.
Doctors such as Family doctors, Endocrinologists, Allergists, Oncologists, General medicine doctors, Immunologists may assess whether OXIGENO MEDICINAL LIQUIDO ESTEVE TEIJIN, 99.5% V/V GAS FOR INHALATION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
The prescription is issued by a doctor after assessing your health. In Spain, OXIGENO MEDICINAL LIQUIDO ESTEVE TEIJIN, 99.5% V/V GAS FOR INHALATION is then dispensed in pharmacies with that prescription. An online consultation does not guarantee that a prescription will be issued: the decision always rests with the doctor.
To request an assessment, you can use Oladoctor:
Other medicines with the same active substance (oxygen) include SYNTHETIC MEDICAL AIR NIPPON GASES 200 BAR, COMPRESSED MEDICAL GAS, SYNTHETIC MEDICINAL AIR OXYGEN HEALTH 22% V/V COMPRESSED MEDICINAL GAS, CONOXIA 99.5% (v/v) MEDICINAL CRYOGENIC GAS IN FIXED TANK. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
